Hospital Costs > In Wisconsin > Uw Health Partners Watertown Regional Med Ctr, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 98 | 466 / 37 | $45.141,90 | 1037 / 38 | $13.122,20 | 673 / 20 | $10.583,50 | 664 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 77 | 439 / 32 | $25.830,10 | 575 / 15 | $10.286,00 | 320 / 7 | $9.208,23 | 320 / 10 |
| Heart Failure & Shock W Mcc | 26 | 258 / 32 | $18.350,60 | 332 / 8 | $8.032,58 | 146 / 2 | $7.105,81 | 146 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 31 | $21.907,00 | 960 / 32 | $6.041,46 | 485 / 8 | $5.184,12 | 483 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 30 | $16.909,70 | 787 / 21 | $6.428,62 | 168 / 29 | $4.260,43 | 168 / 3 |
| Heart Failure & Shock W Cc | 20 | 258 / 33 | $16.358,50 | 725 / 22 | $5.688,20 | 446 / 12 | $4.841,80 | 446 / 16 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 32 | $17.000,60 | 217 / 5 | $7.842,22 | 202 / 4 | $6.837,78 | 202 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 26 | $15.319,40 | 548 / 12 | $4.848,86 | 187 / 11 | $3.455,07 | 187 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 19 | $22.407,40 | 485 / 15 | $7.102,21 | 412 / 8 | $6.238,21 | 410 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 25 | $33.603,50 | 366 / 11 | $11.077,70 | 490 / 7 | $10.058,60 | 489 / 17 |
| G.I. Hemorrhage W Cc | 12 | 206 / 39 | $18.588,00 | 621 / 21 | $5.674,92 | 462 / 5 | $4.872,25 | 461 / 16 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 29 | $15.256,00 | 336 / 9 | $6.460,67 | 384 / 3 | $5.660,67 | 383 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 35 | $14.785,50 | 724 / 12 | $4.639,00 | 406 / 14 | $3.331,55 | 404 / 15 |
| Cellulitis W/O Mcc | 11 | 178 / 34 | $13.986,00 | 727 / 21 | $4.971,55 | 606 / 12 | $3.979,55 | 603 / 16 | Total 14 procedures | 371 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.